Sandbox: table diagnosis myxoa: Difference between revisions

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| style="padding: 5px 5px; background: #DCDCDC;" align=center|MRI
| style="padding: 5px 5px; background: #DCDCDC;" align=center|MRI
| style="padding: 5px 5px; background: #F5F5F5;" align=center|Cardiac myxomas appear spherical or ovoid with lobular contours, irregular in shape. MRI with gadolinium administration, demonstrates uniform heterogeneous enhancement.
| style="padding: 5px 5px; background: #F5F5F5;" align=center|Cardiac myxomas appear spherical or ovoid with lobular contours, irregular in shape.
T1: tend to be low to intermediate signal, but areas of haemorrhage may be high
T2: can be variable due to heterogeneity in tumour componants; e.g calcific components > low signal; myxomatous components  > high signal
GE (gradient echo): may show blooming of calcific components
T1 C+ (Gd): shows enhancement (important discriminator from a thrombus) demonstrates uniform heterogeneous enhancement.
| style="padding: 5px 5px; background: #F5F5F5;" align=center|C
| style="padding: 5px 5px; background: #F5F5F5;" align=center|C
| style="padding: 5px 5px; background: #F5F5F5;" align=center|D
| style="padding: 5px 5px; background: #F5F5F5;" align=center|D

Revision as of 22:57, 24 November 2015

The table below summarizes the findings that differentiate Cardiac Myxoma from other conditions that cause Emboli and hemorrhage:

Imaging Technique Features Sensitivity Specificity Limitations
Echocardiogram B C D E
MRI Cardiac myxomas appear spherical or ovoid with lobular contours, irregular in shape.

T1: tend to be low to intermediate signal, but areas of haemorrhage may be high T2: can be variable due to heterogeneity in tumour componants; e.g calcific components > low signal; myxomatous components > high signal GE (gradient echo): may show blooming of calcific components T1 C+ (Gd): shows enhancement (important discriminator from a thrombus) demonstrates uniform heterogeneous enhancement.

C D E
CT Intracardiac heterogeneously low attenuating mass. The attenuation is usally lower than that of myocardium, coarse dystrophic calcification is common. C D E
Angiography B C D E
Chest x-ray Results can be normal. Otherwise, common findings include cardiomegaly, left atrial enlargement, vascular redistribution, prominent pulmonary trunk, and intracardiac tumoral calcification(rare). C D E